ABSTRACT
Restraint, often linked with limiting an individual's freedom of movement, has become a focal point of extensive discussion and evaluation within the realm of mental healthcare. Striking a delicate balance between ensuring individual safety and minimizing reliance on restraint methods poses a significant challenge. In mental health inpatient settings, the prevalent forms of restraint encompass physical, chemical, environmental, and psychological methods. Paradoxically, the consequences of employing restraint can be severe, ranging from injuries and cognitive decline to sedation and, in extreme cases, fatalities. This paper seeks to offer a nuanced exploration of the landscape surrounding psychiatric patient restraints, considering both global perspectives and specific insights from the Indian context. The guidelines outlined in India's Mental Healthcare Act of 2017, which governs the use of restraint on individuals suffering with mental illnesses, are also examined in detail.
Subject(s)
Mental Disorders , Patient Rights , Patient Safety , Restraint, Physical , Humans , Restraint, Physical/ethics , India , Mental Disorders/therapy , Patient Safety/standards , Mental Health Services/standardsABSTRACT
Background: A multidimensional family support and well-being programme (FSWP) was initiated to support the families of children in conflict with law (CICL) and strengthen their participation in the integration process. This programme aims to successfully reintegrate children into the family and build parental capacity to manage them. This study presents the overview of the multidimensional FSWP initiated in an observation home, facility for CICLs, Bengaluru, a metropolitan city of India. Methods and Materials: The team of psychiatric social workers systematically delivered the family support programme to promote families' involvement at multiple levels (individual, relationships, community, and societal) for successful reintegration of children in communities. The preliminary data about the participants was collected using strengths and difficulties questionnaire and parent interview schedule. Results: The programme activities consisted of engaging parents and family members in the parenting management training programme, addressing their psychosocial issues, identifying resources for postrelease rehabilitation and promotive interventions with children and their parents. The FSWP activities are developed to increase positive outcomes like favorable behavioral changes in children and emotional regulation, frequent participation and support of parents in the trial and rehabilitation process, and encouraging parental involvement in for successful community reintegration and placements of children. Conclusion: The family characteristics are integrally related to delinquency and practioners need to integrate such factors to improve parenting behaviors and enhance positive relationships between families and children.
